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Accidents and Falls
Medical Procedures
Violent Acts/Attacks
Bullying
Family Violence
Physical and Sexual Abuse
Death, Loss Divorce
Environmental Stressors
“If it’s hysterical, it’s
historical.”
INCREASES RISK BY:
 Chronic Pulmonary Lung Disease – 390%
 Hepatitis – 240%
 Depression – 460%
 Attempted Suicide – 1220%
AREAS OF THE BRAIN
AFFECTED BY TRAUMA
•Prefrontal Cortex – Thinking Center
(underactive)
•Anterior Cingulate Cortex – Emotion
Regulation Center (underactive)
•Amygdala – Fear Center (overactive)
“The more threatened you are the more
primitive you are in your behavior.”
- Dr. Bruce Perry
This is Where
we Think.
This is Where our
Fight or Flight is.
WHEN THE AMYGDALA
TALKS . . .
THEY ARE NOT
LISTENING
AMYGDALA
THE FLOOD ZONE
Rational thinking is not possible until the
blood reaches the top of the head
Biological not psychological
The brain will only reset by changing the 5
senses
CHILDREN WHO HAVE
EXPERIENCED TRAUMA DON’T
TRUST
Being a safe person is the most important
thing you can offer a child who has not
experienced safety before.
“I hear you. I believe you. I understand
you. I accept you. I respect you.”
Acknowledge the Feeling
“I see that you’re angry.”
Communicate the Limit
“But I am not for hitting.”
Target an Alternative
“You can hit this pillow.”
“Play is the language of children. Toys are their words.”
SIGNIFICANCE OF DEVELOPMENTAL
PLAY
Children explore their world at an experiential level rather
than a cognitive level.
Play is their way of expressing feelings about the world as
well as feelings about themselves.
Counselor meets the child at his/her level rather than the
adult level.
RECOMMENDED PLAY MATERIALS
 Dolls, bottles, dollhouse,
multicultural people
 Aggressive and domestic
miniature animals; puppets
 Clay, arts/crafts materials
 Cars/trucks, emergency vehicles,
planes
 Wooden blocks, balls
 Sand tray with sand
NON-DIRECTIVE PLAY THERAPY
Child chooses the toys they want to play with
Child chooses the activities that are done within a session
Child chooses if counselor plays or does not play
Counselor “tracks” what the child says
TRACKING STATEMENTS FOR NON-
DIRECTIVE PLAY
“The dinosaur is very angry.”
“You are wanting to play with the sand today.”
“You’re frustrated because the lid won’t come off.”
“You’re having trouble deciding what to do today.”
*Counselor has a“hands-off”approach.
WHEN TO USE NON-DIRECTIVE
PLAY
When you don’t have a clear idea of what the issue is
Before child develops a connection and trusts you
When a child is resistant to directive play
When a child is rigid and lacks imagination
Performance Decline
Obsessive Talking about Incident
Behavior Changes
Elaborate Play Reenactments
Psychosomatic Complaints
 Acting Out Behaviors
 Low Self-Esteem
 Displaced Anger
 “Too old, too fast”
 Preoccupation with Own Reactions
Mental separation from the trauma
Feeling detached from the body
Feel as if they’re “in a dream”
May not remember specific events
May look attention related – spacing out,
daydreaming, etc.
• Trouble concentrating
• Difficulty learning
• Easily distracted
• Doesn’t listen well
• Disorganized
• Hyperactive/Restless
• Doesn’t sleep well
You can’t help
children heal
from trauma
until they’re out
of a traumatic
situation. You
are there to help
them cope.
My name is ____________________.
I am safe right now.
I am in the present, not the past.
I am located in _____________.
The date is __________________.
TOOLS FOR ADOLESCENTS
GROUNDING ACTIVITIES
Describe your environment in detail using all your senses –
“The walls are white. There are five pink chairs.”
Play a “Categories” game with yourself. Think of “types of
dogs,” “types of musicians, etc.”
Run cool water over your hands.
Grab tightly to your chair as hard as you can.
Carry and object in your pocket to remind you that you are
safe.
WEBSITE: allisonjedwards.com
INSTAGRAM: allisone_lpc
TWITTER: @allisoneLPC
BLOG: allisonjedwards.com/blog/
Trauma - IL

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Trauma - IL

  • 1.
  • 2.
  • 3. Accidents and Falls Medical Procedures Violent Acts/Attacks Bullying Family Violence Physical and Sexual Abuse Death, Loss Divorce Environmental Stressors
  • 4.
  • 5. “If it’s hysterical, it’s historical.”
  • 6.
  • 7. INCREASES RISK BY:  Chronic Pulmonary Lung Disease – 390%  Hepatitis – 240%  Depression – 460%  Attempted Suicide – 1220%
  • 8.
  • 9. AREAS OF THE BRAIN AFFECTED BY TRAUMA •Prefrontal Cortex – Thinking Center (underactive) •Anterior Cingulate Cortex – Emotion Regulation Center (underactive) •Amygdala – Fear Center (overactive)
  • 10.
  • 11. “The more threatened you are the more primitive you are in your behavior.” - Dr. Bruce Perry
  • 12.
  • 14. This is Where our Fight or Flight is.
  • 15.
  • 16.
  • 17. WHEN THE AMYGDALA TALKS . . . THEY ARE NOT LISTENING
  • 19.
  • 20. THE FLOOD ZONE Rational thinking is not possible until the blood reaches the top of the head Biological not psychological The brain will only reset by changing the 5 senses
  • 21.
  • 22.
  • 23.
  • 24. CHILDREN WHO HAVE EXPERIENCED TRAUMA DON’T TRUST Being a safe person is the most important thing you can offer a child who has not experienced safety before. “I hear you. I believe you. I understand you. I accept you. I respect you.”
  • 25. Acknowledge the Feeling “I see that you’re angry.” Communicate the Limit “But I am not for hitting.” Target an Alternative “You can hit this pillow.”
  • 26. “Play is the language of children. Toys are their words.”
  • 27. SIGNIFICANCE OF DEVELOPMENTAL PLAY Children explore their world at an experiential level rather than a cognitive level. Play is their way of expressing feelings about the world as well as feelings about themselves. Counselor meets the child at his/her level rather than the adult level.
  • 28. RECOMMENDED PLAY MATERIALS  Dolls, bottles, dollhouse, multicultural people  Aggressive and domestic miniature animals; puppets  Clay, arts/crafts materials  Cars/trucks, emergency vehicles, planes  Wooden blocks, balls  Sand tray with sand
  • 29. NON-DIRECTIVE PLAY THERAPY Child chooses the toys they want to play with Child chooses the activities that are done within a session Child chooses if counselor plays or does not play Counselor “tracks” what the child says
  • 30. TRACKING STATEMENTS FOR NON- DIRECTIVE PLAY “The dinosaur is very angry.” “You are wanting to play with the sand today.” “You’re frustrated because the lid won’t come off.” “You’re having trouble deciding what to do today.” *Counselor has a“hands-off”approach.
  • 31.
  • 32. WHEN TO USE NON-DIRECTIVE PLAY When you don’t have a clear idea of what the issue is Before child develops a connection and trusts you When a child is resistant to directive play When a child is rigid and lacks imagination
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39. Performance Decline Obsessive Talking about Incident Behavior Changes Elaborate Play Reenactments Psychosomatic Complaints
  • 40.  Acting Out Behaviors  Low Self-Esteem  Displaced Anger  “Too old, too fast”  Preoccupation with Own Reactions
  • 41. Mental separation from the trauma Feeling detached from the body Feel as if they’re “in a dream” May not remember specific events May look attention related – spacing out, daydreaming, etc.
  • 42. • Trouble concentrating • Difficulty learning • Easily distracted • Doesn’t listen well • Disorganized • Hyperactive/Restless • Doesn’t sleep well
  • 43.
  • 44. You can’t help children heal from trauma until they’re out of a traumatic situation. You are there to help them cope.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49. My name is ____________________. I am safe right now. I am in the present, not the past. I am located in _____________. The date is __________________.
  • 51.
  • 52.
  • 53.
  • 54. GROUNDING ACTIVITIES Describe your environment in detail using all your senses – “The walls are white. There are five pink chairs.” Play a “Categories” game with yourself. Think of “types of dogs,” “types of musicians, etc.” Run cool water over your hands. Grab tightly to your chair as hard as you can. Carry and object in your pocket to remind you that you are safe.
  • 55. WEBSITE: allisonjedwards.com INSTAGRAM: allisone_lpc TWITTER: @allisoneLPC BLOG: allisonjedwards.com/blog/